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中文版发展性、维度和诊断访谈-短版(3Di-sv)在诊断中国儿童自闭症谱系障碍中的验证。

Validation of the developmental, dimensional and diagnostic interview -short version (3Di-sv) for diagnosis of autism spectrum disorder in Chinese children.

机构信息

School of Medicine, South China University of Technology, Guangzhou, Guangdong Province, PR China; Guangdong Mental Health Center, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong Province, PR China.

Department of Clinical, Educational and Health Psychology, UCL, London, UK.

出版信息

Asian J Psychiatr. 2023 Oct;88:103733. doi: 10.1016/j.ajp.2023.103733. Epub 2023 Aug 11.

Abstract

The purpose of this study was to evaluate the psychometric features of the Chinese version of the developmental dimensional diagnostic interview-short version (3Di-sv). A total sample of 138 children including 79 children with autism spectrum disorder (ASD) and 59 typically developing children completed the 3Di-sv interview. The Chinese version of the 3Di-sv has a good internal consistency (0.94). Test-retest analysis confirmed the instrument's time stability (0.89). The instrument's concurrent validity with the Autism Behavior Checklist (ABC), the Childhood Autism Rating Scale (CARS) and clinical diagnosis was verified; the correlation between total scores was 0.72, 0.82 and 0.90, respectively. The 3Di-sv significantly distinguished between autistic children and non-autistic children in every area of autism symptoms. Optimal cutoffs were derived using receiver operating characteristics curves. Using clinical diagnosis as criterion, overall sensitivity was 98 % and specificity was 90 %. The study determined that the Chinese version of 3Di-sv can well distinguish autistic children from typically developing children.

摘要

本研究旨在评估发展维度诊断访谈-短版(3Di-sv)中文版的心理计量学特征。共有 138 名儿童参与了研究,包括 79 名自闭症谱系障碍(ASD)儿童和 59 名正常发育儿童。3Di-sv 中文版具有良好的内部一致性(0.94)。重测分析证实了该工具的时间稳定性(0.89)。该工具与自闭症行为检查表(ABC)、儿童自闭症评定量表(CARS)和临床诊断的同时效度得到了验证;总分之间的相关系数分别为 0.72、0.82 和 0.90。3Di-sv 在自闭症症状的各个领域均能显著区分自闭症儿童和非自闭症儿童。使用受试者工作特征曲线得出最佳截断值。使用临床诊断作为标准,总敏感度为 98%,特异性为 90%。研究表明,3Di-sv 中文版能够很好地区分自闭症儿童和正常发育儿童。

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